Cervical Cancer Screening Among Women Without a Cervix

Trends in the Overuse of Ambulatory Health Care Services in the United States

“…Our findings of the continued delivery of inappropriate care such as the use of PSA testing in older men and cervical cancer screening in older women are consistent with other studies that demonstrate the persistence of inappropriate care [34, 35]. Our results also suggest that there has been little change in the delivery of inappropriate ambulatory care in the past decade.…”

“…In our examination of ambulatory health care services over 10 years, we found an improvement in 6 of 9 measures of underuse but only 3 of 13 measures of inappropriate care (both overuse and misuse). Our findings of the continued delivery of inappropriate care, such as the use of prostate-specific antigen testing in older men and cervical cancer screening in older women, are consistent with other studies 34,35 that demonstrate the persistence of inappropriate care. Our results also suggest that there has been little change in the delivery of inappropriate ambulatory care in the past decade.…”

Routine vaginal Pap test is not useful in women status‐post hysterectomy for benign disease

“…In conclusion, given the results of the current study and those of several others, [5][6][7][8][9][10]15 we agree with the current USPTF recommendation that continued V-Pap testing is not useful in women S/P T-hyst for benign disease, especially in women 65 yr. The cost-savings may be used to screen women at high risk for developing this preventable cancer.…”

“…Of these, 10 million (45.6%) women had a T-Hyst for benign disease and were unnecessarily undergoing Pap smear screening. 15 Similarly, according to our results, 44.5% (581/1303) of women S/P T-Hyst for benign disease are being routinely screened at our institution. Other studies have reported the numbers to be 58-66%.…”

Breast Cancer Screening in Patients With Newly Diagnosed Lung and Colorectal Cancer: A Population-Based Study of Utilization

“…This preoccupation could also result in a desire for increased screening, even when additional cancer risk is not present. For example, overutilization of Pap smear screening was reported among women who have undergone hysterectomy [29]. Interestingly, among early-stage cancer survivors, we did not show increased screening rates, compared with matched cancer-free controls.…”